天津护理 ›› 2022, Vol. 30 ›› Issue (3): 315-319.DOI: 10.3969/j.issn.1006-9143.2022.03.014

• 论著 • 上一篇    下一篇

急危重症患者院内转运意外事件发生危险因素的系统评价

吴秋霞 邸红军 侯亚红   

  1. (中国人民武装警察部队特色医学中心,天津 300162)
  • 出版日期:2022-06-28 发布日期:2022-06-29

Risk factors of adverse events during intra-hospital transport of critical patients: a systematic review

WU Qiuxia, DI Hongjun, HOU Yahong   

  1. ( Featured Medical Center of Chinese People’s Armed Police Forces,Tianjin 300162)
  • Online:2022-06-28 Published:2022-06-29

摘要: 目的:系统评价国内外急危重症患者院内转运意外事件发生的危险因素。方法:计算机检索PubMed、EMbase、The Cochrane Library、JBI、Web of Science、CINHAL、CNKI、WanFang Data、VIP和CBM数据库,检索时限为数据库建库至2021年12月,搜集有关急危重症患者院内转运意外事件发生危险因素的队列研究、病例对照研究和横断面研究。由2位研究者独立筛选文献、提取资料并对纳入研究的质量进行评价。结果:纳入8篇横断面研究,合计3 072例患者。描述性分析的结果显示,急危重症患者院内转运意外事件的危险因素涉及11项,包括患者年龄、病情以及治疗/护理相关因素等。结论:年龄、病情严重程度、转运仪器/设备、转运人员等可增加急危重症患者院内转运意外事件的发生风险。受纳入研究数量和质量限制,上述结论尚需开展更多高质量的研究予以验证。

关键词: 意外事件, 院内转运, 危险因素, 重症患者, 系统评价

Abstract: Objective: To systematically evaluate the risk factors of the adverse events during intra-hospital transport of critical patients. Methods: PubMed, EMbase, The Cochrane Library, JBI database, Web of Science, CINHAL, CNKI, WanFang Data, VIP, and CBM databases were searched to collect cohort studies, case-control studies and cross-sectional studies on the risk factors associated with adverse events during intra-hospital transport of critical patients from inception to December, 2021. Two researchers independently screened the literature, extracted data and evaluated the quality of the included research. Results: A total of 8 cross-sectional studies were included with a total of 3 072 patients. Descriptive analysis showed that 11 risk factors were summarized including age, disease status and treatment/nursing related factors. Conclusion: Age, severity of illness, equipment/device, and staff are possible risk factors of adverse events during intra-hospital transport in critical patients. Due to the limitation of quantity and quality of included studies, more high-quality studies are needed to verify the above conclusions.

Key words: Adverse events, Intra-hospital transport, Risk factors, Critical patients, Systematic review